Isolated Hyoid Bone Fracture due to Blunt Trauma: Case Report

Introduction: Fractures of the hyoid bone are very rare. Diagnosis of hyoid fracture is difficult and can be made only with a strong degree of suspicion. We report a case of isolated hyoid bone fracture due to blunt trauma to the neck.
Case report: A 26 year old woman was admitted to emergency department for motor vehicle accident. She complained of disphagia and anterior neck discomfort. Physical examination showed hiperemia and tenderness of neck. A tomographic scan of neck was performed. The findings demonstrated hyoid fracture. Patient was observed with medical therapy for 24 hours and discharged with recommendation of outpatient control.
Conclusion: Emergency physician has to be aware of the possibility of hyoid fractures in blunt traumas. Patients with hyoid fracture should be observed for 24 hours. Generally, medical treatment is satisfactory in isolated hyoid fractures.

Künt Travma Sonucu Geliþen Ýzole Hiyoid Kýrýðý: Olgu Sunumu

Ozet
Giriþ: Hiyoid kemik kýrýklarý nadir görülür. Hiyoid kemik kýrýðýnýn teþhisi zor olup; yüksek þüphe ile tanýsý konulabilir. Burada künt travmaya baðlý geliþen izole hiyoid kýrýðý vakasý sunulmaktadýr.
Olgu sunumu: 26 yaþýnda bayan hasta araç içi trafik kazasý sonucu acil servisimize baþvurdu. Hasta yutma güçlüðü ve boyunda aðrý ve rahatsýzlýk hissinden þikayetçiydi. Fizik muayenede boyunda hiperemi ve hassasiyet mevcuttu. Boyun tomografisi çekilen hastada hiyoid fraktürü gözlendi. Hasta medikal tedavi uygulanarak 24 saat gözlendi. Poliklinik kontrolü önerilerek taburcu edildi.
Sonuç: Acil hekimi künt travmalarda hiyoid kýrýðý oluþma riskini dikkate almalýdýr. Hiyoid kýrýklý hastalar 24 saat gözlenmelidir. Genellikle bu hastalar için medikal tedavi yeterli sonuçlarý vermektedir.